1) Shut down Dell Server
2) Opened it up, checked all the connections
3) Changed PCIe slots
4) Booted, enabled passthrough, rebooted
5)
6) Profit. Well, it works again. I am going to chalk this up to VMWare weirdness of some sort - I meant to be more methodical but the server also has the VM with the router on it, and umm, other forces at home were not happy.